Michael D Ermatinger, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

12455 Kerran St
Poway, CA 92064-8834

Phone

(714) 336-0963

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1902489248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 EBERS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073545",
            "telephone_number": "619-679-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 KERRAN ST",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648834",
            "telephone_number": "714-336-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMATINGER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nhl.ahmscloud.com/nhl/",
            "affiliation": "Y",
            "affiliationName": "ahms",
            "address_1": "12455 Kerran St",
            "city": "Poway",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920648834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in Poway, CA
• Providers in Poway, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.